Analysis of autonomy of pregnant in choice of delivery type

Submitted by Luciana Ferreira ([email protected]) on 2016-04-27T14:59:00Z No. of bitstreams: 2 Dissertação - Gleydson Ferreira de Melo - 2016.pdf: 752072 bytes, checksum: bf85dc145c2d0d75f2945196118bde17 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Approved for entry into archive by Luciana Ferreira ([email protected]) on 2016-04-27T15:00:32Z (GMT) No. of bitstreams: 2 Dissertação - Gleydson Ferreira de Melo - 2016.pdf: 752072 bytes, checksum: bf85dc145c2d0d75f2945196118bde17 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5)Made available in DSpace on 2016-04-27T15:00:32Z (GMT). No. of bitstreams: 2 Dissertação - Gleydson Ferreira de Melo - 2016.pdf: 752072 bytes, checksum: bf85dc145c2d0d75f2945196118bde17 (MD5) license_rdf: 23148 bytes, checksum: 9da0b6dfac957114c6a7714714b86306 (MD5) Previous issue date: 2016-03-15The pregnant woman's autonomy of analysis in choosing the type of delivery and the guidelines on prenatal care, the woman as an active agent in the parturition process. Objective: To analyze the autonomy of pregnant women face the choice of the type of delivery. It is a descriptive research field with a qualitative approach. The data were collected through semi-structured interviews were interviewed 80 pregnant women in a public unit of public health Goiania, Goiás, from August to September 2015. In the analysis and interpretation of data emerged the theme: autonomy pregnant women in choosing the type of delivery was drawn up three thematic categories: the pregnant woman's autonomy in choosing the type of delivery; Partner opinion and family and the influence of professionals in the puerperal gravid period. The study found that during the health unit prenatal did not favor dialogue with the pregnant woman in the types of delivery. It was identified break in the empowerment of women, the decisions of pregnant women are motivated by family experiences and or close pairs, but the doctor's professional statement directly influences the decision of pregnant women. The level of women's education directly influence the choice of the type of delivery; it was found that the previous experience of strengthen the type of delivery of the decision in subsequent pregnancies. Thus, the discussion of the results confirms the need to review and improvement of care programs pregnant women, especially in the public service, where there were great achievements in government policies, which advanced to ratify a quality and efficient service for women who seek comprehensive care at birth and childbirth.Análise da autonomia da gestante na escolha do tipo de parto e as orientações no pré-natal, à mulher como agente ativa no processo de parturição. Objetivo: analisar a autonomia da gestante frente à escolha do tipo de parto. Trata-se de pesquisa descritiva de campo com abordagem qualitativa. A coleta de dados ocorreu por meio de entrevistas semiestruturadas, foram entrevistadas 80 gestantes atendidas em uma unidade pública de saúde pública de Goiânia, Goiás, no período de agosto a setembro de 2015. Na análise e interpretação dos dados emergiram o tema: A autonomia da gestante na escolha do tipo de parto elaborou-se três categorias temáticas: autonomia da gestante na escolha do tipo de parto; opinião do parceiro e familiares e a influência dos profissionais no período gravídico puerperal. O estudo revelou que durante o pré-natal a unidade de saúde não favoreceu o diálogo com a gestante quanto aos tipos de parto. Identificou-se ruptura na autonomia da mulher, as decisões das gestantes são motivadas por experiências familiares e ou pares próximos, entretanto a indicação do profissional médico influencia diretamente na decisão das gestantes. O grau de instrução da mulher influência diretamente na escolha do tipo de parto; constatou-se que as experiências anteriores de parturições fortalecem a decisão do tipo de parto em gestações subsequentes. Sendo assim, a discussão dos resultados encontrados, confirma a necessidade da revisão e do aperfeiçoamento dos programas de atendimento as gestantes, em especial no serviço público, onde ocorreram grandes conquistas nas políticas governamentais, que avançaram para ratificar um atendimento de qualidade e eficiente para as mulheres que buscam a assistência integral ao nascimento e ao parto

Quality of life of patients with Amyotrophic Lateral Sclerosis

Objective: to analyze the scientific evidence that evaluated the quality of life of patients with Amyotrophic Lateral Sclerosis through ALSAQ-40/ALSAQ-5. Methods: this is an integrative review carried out with eight articles in the database, using controlled keywords. Results: the most impaired domains of quality of life were physical mobility and activities of daily living. Patients with bulbar Amyotrophic Lateral Sclerosis, communication and feeding were more impaired. Problems with health care and lack of social support to the caregiver negatively impacted the patient´s quality of life. Emotional stress was correlated with communication, physical mobility and disease progression in patients with breathing and artificial feeding, but it is not directly related to the advances of physical deterioration, but rather how the patient processes the experiences. Conclusion: patients with Amyotrophic Lateral Sclerosis have a poorer quality of life regarding the motor aspect, and lack of caregiver support worsens the patient´s quality of life